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Buchanan. Mini-invasive Surg 2019;3:8 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2019.24

Editorial Open Access

Preface of the special issue on “A bespoke
approach to rectal cancer resection and
management”

Gordon N. Buchanan

Consultant Colorectal Surgeon, Lister Hospital, London SW1W 8RH, UK.

Correspondence to: Mr. Gordon Buchanan, Consultant Colorectal Surgeon, Lister Hospital, Chelsea Bridge Road, London
SW1W 8RH, UK. E-mail: gordon.buchanan@hcaconsultant.co.uk

How to cite this article: Buchanan GN. Preface of the special issue on “A bespoke approach to rectal cancer resection and
management”. Mini-invasive Surg 2019;3:8. http://dx.doi.org/10.20517/2574-1225.2019.24
Received: 5 Mar 2019 Accepted: 11 Mar 2019 Published: 28 Mar 2019

Science Editor: Charles F. Bellows Copy Editor: Cai-Hong Wang Production Editor: Huan-Liang Wu

Rectal cancer is increasingly managed by super-specialist colorectal and oncological teams - this has
only become possible through the belief and drive of many key figures who often, despite lack of support
from their peers, persevered in order to define the aspect of care they truly believed beneficial to improve
outcomes. It is this collective work across decades that has enabled patients to have choice in scenarios that
were often previously both bleak and debilitating. It is a great honour to act as guest editor for this special
edition where many of these key international opinion leaders have generously contributed to help coalesce
the goal for a bespoke approach to rectal cancer.

[1]
Tebala et al. discuss the role of enhanced recovery and demonstrate how it can shorten stay and
potentially reduce complications in this complex set of patients.

[2]
Chouhan et al. , with input both from the greatly experienced Korean and Australasian teams, have
discussed in great depth the potential benefits of the robotic platform and even in early trials noted the
trend to reduced conversion vs. laparoscopic resection in the obese male - as numbers grow this almost
certainly will become more evident. They liken the robot to an open approach with its wrist movement but
providing a more magnified view and the benefits of a minimally invasive surgery (MIS) approach. They
provide some evidence that the robotic approach may improve survival potentially combined with better
[3]
pathological outcomes; these benefits are further reviewed by Chen et al. from Taiwan who found this
technique safe in low lying rectal cancer.

© The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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